TechDetail

Last Updated:  5/18/2024 7:05:42 PM

Technician Detail               
Name  KENDRA   LIZAMA 
Type  Technician 
Number 24838 
City  TAHLEQUAH, OK  74464 
Status CANCELED
Issue Date  02/20/2019 
Renewed Date 02/20/2019
Expire Date  07/31/2019 
End Date  09/03/2019 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action